Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katherine Shevelson, MD

Individual provider Pediatrics Physician · NPI 1104455310

Katherine Shevelson, MD is a Pediatrics Physician in Pickerington, Ohio. Licensed in Ohio. Registered with an NPI since 2020.

Licensed in
OH
In the registry since
2020
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

905 Old Diley Rd
Pickerington, OH 43147-2113
Phone: (614) 864-3222
Fax: (614) 863-7388
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 35.148242 (OH)
Pediatrics Physician Taxonomy 208000000X · Licence 57.250015 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104455310
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 8, 2020
Last updated in NPPESFebruary 10, 2025
Certification dateFebruary 10, 2025
Mailing address1021 Country Club Rd Unit A, Columbus, OH 43213-2484

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